| NPI | 1154406270 |
|---|---|
| Doing Business As | LAKEVIEW FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIRBY J ORME Owner 601-951-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-06-05 |